Krystal Marie Raley, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1076 Issued in WY

Practice address

919 Airport Rd
Sheridan, WY 82801-5806

Phone

(307) 751-3769

Fax

(307) 763-4440

NPI assigned

Mar 16, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• All Is Well Enterprises LLC

  • Counselor
  • Corsicana, TX
  • NPI 1093598591

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Volunteers of America Northern Rockies

  • Substance Abuse Rehabilitation Facility
  • Sheridan, WY
  • NPI 1689249682

  WY

  Medicare reassignment
• Kross Fire Counseling & Equine Enterprises

  • Mental Health Counselor
  • Sheridan, WY
  • NPI 1447673082

  Addiction (Substance Use Disorder)

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1346564655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7083",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828017002",
            "telephone_number": "307-751-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 AIRPORT RD",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015806",
            "telephone_number": "307-751-3769",
            "fax_number": "307-763-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALEY",
        "first_name": "KRYSTAL",
        "middle_name": "MARIE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "1076",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "1076",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WY",
            "license": "1076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joey L Puettman
• Anthony B Quinn, M.D.
• Harold Quist Jr., DDS
• Amy M. Rabon, CNM,M.S.
• Steve E Rabon, D.P.M.
• Jorge I Ramirez, M.D.
• Tiffany Ramos, FDNP, CHHP
• Jamie Alex Ramsay, MD
• Jennifer L Rasp-Vaughn, RN
• William Henry Rathburn II, PHARMACIST

• All providers in Sheridan, WY
• Professional Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.